Research Article

Maternal and Perinatal Outcomes among Women Who Underwent Second Stage versus First-Stage Caesarean Delivery


Background: The complexity of Second-stage caesarean is due to its deep engagement of the fetal head. 2nd stage cesarean section is also associated with increased maternal and neonatal complications.
To see how caesarean sections done in the second vs first phases of labor affect maternal and perinatal outcomes.
Methods: It was a one-year observational research that took place in our hospital. This study enlisted the participation of 300 women. For various reasons, 100 women received second-stage caesarean sections, whereas 200 women got first-stage caesarean sections.
Results: Women who had a caesarean birth in the second stage of labour had a higher risk of maternal morbidity, according to our findings. Fetal injury during birth (5.5 percent vs. 2.0 percent), FSB (4.5 percent vs. 2.25 percent), admission to the neonatal intensive care unit (18.0 percent vs. 12.5%), neonatal sepsis (3.5 percent vs. 1.5 percent), and early neonatal mortality (3.5 percent vs. 1.5 percent) were all higher (2.0 percent vs. 2.25 percent).
Conclusion: The most common complications associated with 2nd stage caesarean delivery were intraoperative bleeding, adhesion, bladder damage, caesarian hysterectomy, perinatal hypoxia, FSB, birth trauma, NICU hospitalisation, and poor Apgar score.

[1] Royal college of obstetricians and gynecologists (2001) RCOG clinical effectiveness support unit. The national sentinel cesarean section audit report. London.
[2] Fasubaa OB, Ezechi OC, Orji EO, Ogunniyi SO, Akindele ST, Loto OM, et al. Delivery of the impacted head of the fetus at caesarean section after prolonged obstructed labour: a randomised comparative study of two methods. J Obstet Gynaecol. 2002; 22(4):375-8.
[3] Cebekulu L, Buchmann EJ. Complications associated with cesarean section in the second stage of labor. Int J Gynaecol Obstet. 2006; 95(2):110-4.
[4] Allen VM, O'Connell CM, Baskett TF. Maternal and perinatal morbidity of caesarean delivery at full cervical dilatation compared with caesarean delivery in the first stage of labour. BJOG. 2005; 112(7):986-90.
[5] Alexander JM, Leveno KJ, Rouse DJ, Landon MB, Gilbert S, Spong CY, et al. Comparison of maternal and infant outcomes from primary cesarean delivery during the second compared with first stage of labor. Obstet Gynecol. 2007; 109(4):917-21.
[6] Burrows LJ, Meyn LA, Weber AM. Maternal morbidity associated with vaginal versus cesarean delivery. Obstetrics & Gynecology. 2004; 103(5):907-12.
[7] Allen VM, O'Connell CM, Baskett TF. Maternal morbidity associated with cesarean delivery without labor compared with induction of labor at term. Obstet Gynecol. 2006; 108(2):286-94.
[8] Rabiu KA, Adewunmi AA, Akinola OI, Eti AE, Tayo AO. Comparison of maternal and neonatal outcomes following caesarean section in second versus first stage of labour in a Tertiary Hospital in Nigeria. Niger Postgrad Med J. 2011; 18(3):165-71.
[9] Selo-Ojeme D, Sathiyathasan S, Fayyaz M. Caesarean delivery at full cervical dilatation versus caesarean delivery in the first stage of labour: comparison of maternal and perinatal morbidity. Arch Gynecol Obstet. 2008; 278(3):245-9.
[10] Murphy DJ, Liebling RE, Verity L, Swingler R, Patel R. Early maternal and neonatal morbidity associated with operative delivery in second stage of labour: a cohort study. Lancet. 2001; 358(9289):1203-7.
[11] Asıcıoglu O, Güngördük K, Yildirim G, Asıcıoglu BB, Güngördük OÇ, Ark C, et al. Second-stage vs first-stage caesarean delivery: comparison of maternal and perinatal outcomes. J Obstet Gynaecol. 2014; 34(7):598-604.
IssueVol 8 No 4 (2022): Autumn QRcode
SectionResearch Article(s)
2nd stage C/S 1st stage C/S Maternal Fetal

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Gayas S, Mustafa M, Amin B. Maternal and Perinatal Outcomes among Women Who Underwent Second Stage versus First-Stage Caesarean Delivery. Arch Anesth & Crit Care. 2022;8(4):298-302.